The treatment after abortion varies considerably: in many cases it will be
merely necessary for the patient to remain in bed for a few days
afterwards; but where she has been much reduced, a mild course of tonics
will be necessary, in order to prevent that disposition to leucorrhoea and
menstrual derangement which is so common a result: this, where it is
possible, should be combined with removal into the country, or to the
sea-side, or, what is still better to a watering place, where there are
mineral springs of chalybeate character. For the treatment of anæmia we
must refer our readers to the chapter on HÆMORRHAGE.
PART III.
EUTOCIA, OR NATURAL PARTURITION.
CHAPTER I.
STAGES OF LABOUR.
_Preparatory stage.--Precursory symptoms.--First contractions.--Action
of the pains.--Auscultation during the pains.--Effect of the pains
upon the pulse.--Symptoms to be observed during and between the
pains.--Character of a true pain.--Formation of the bag of liquor
amnii.--Rigour at the end of the first stage.--Show.--Duration of the
first stage.--Description of the second stage.--Straining pains.--
Dilatation of the perineum.--Expulsion of the child.--Third stage.--
Expulsion of the placenta.--Twins._
Parturition may be divided into two great orders, _Eutocia_ and
_Dystocia_, the one signifying natural labour which follows a favourable
course both for the mother and her child; the other signifying faulty or
irregular labour, the course of which is unfavourable.
We may define eutocia to be the safe expulsion of the mature foetus and
its secundines by the natural powers destined for that purpose. No
function exhibits such infinite varieties, within the limits of health and
safety to the mother and her offspring, as that of parturition; no two
labours, even in the same individual are exactly alike; still, however,
the great objects of the process will be the same, viz. 1st. the
preparation of the passages and the foetus for its expulsion; 2dly, the
expulsion of the foetus; and 3dly, the expulsion of the placenta and
membranes.
That we may form a clearer and more comprehensive view of this process,
labour has usually been divided into stages or periods, marked by the
changes just now alluded to: hence it is generally said to consist of
three stages; the first, or preparatory stage, commencing with the first
perceptible contractions of the uterus, and terminating in the full
dilatation of the os uteri; the second, or stage of expulsion, terminating
with the birth of the child; and the third, consisting of the expulsion of
the placenta.
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